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DREW STEVEN BLACKSTOCK MD NPI 1841532819


NPI Information

NPI: 1841532819
Provider Name: DREW STEVEN BLACKSTOCK, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
6630 SUMMER KNOLL CIR STE 101
BARTLETT, TN
ZIP 38134
Phone: (901) 746-9438
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Drew Steven Blackstock, MD is an addiction medicine family medicine in Bartlett, TN with 11 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Drew Steven Blackstock, MD NPI is 1841532819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

6630 SUMMER KNOLL CIR STE 101
BARTLETT, TN
ZIP 38134
Phone: (901) 746-9438

The NPI 1841532819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2013 and was last updated on 8/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction Medicine51931TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102237563MEDICAIDMISSISSIPPI
21841532819MEDICAIDMISSOURI
3Q008983MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.